Robin Memory Email & Phone Number

Boston, Ma, Us

Wilmington, Massachusetts, United States

Lawrence, Massachusetts, United States

Process monthly billing charges Managed Medicare Products and Commercial Insurances, review billing for corrections (Homecare Homebase EMR)Review Accounts Receivable to ensure claim payments and timely filingFollow up on Accounts Receivable until full payment is received.Verify Medicare, Managed Medicare Products and Commercial Insurances for Hospice patient referrals Collaborates with the referral and utilization review departments to facilitate the process required for billing

Verify Medicare and managed care insurance programs for new patients referralsCollaborates with the billing and referral departments to facilitate the process required for managed care and billingReview initial admission information to provide required clinical documentation to providers for authorization, utilization and paymentFacilitates the timely transfer of the universal health care form to all managed care insurersFollows through in a timely manner to request/obtain service authorizations per the insurance defined procedures.Provides managed care organizations with clinical documentation to comply with the payers’ requirements to obtain reimbursement Communicates with clinical staff regarding insurer requests for additional documentationContinuously assess the clinical data to make sure the visits are medically necessary and meets managed care criteria (skilled, home-bound, and MD orders)Enters all authorized visits in the UR log along with the date, frequencies, ranges, and disciplines Documents all relevant email and voice mail messages received in the patient UR log dailyActs as a resource to all staff members, referral, and billing and outside providers to insure appropriate utilization

Malden, Ma

Provide administrative and analytical support to the Quality Department reporting to the Director of Quality and SafetyResponsible for conducting assigned audits and trending, aggregating data for the Quality DepartmentEnsure the timely and accurate submission of documentation related to medical information requests and the appeals processCoordinate multi-department meeting including but not limited to agenda, minutes and creation of presentation materialReview physician orders for accuracy, make any necessary corrections and forward to physician for approvalCompile weekly transmission to Center for Medicaid and Medicare Services (CMS)

Malden, Ma

Schedule clinical staff, using NetSmart, for weekly coverage of patient careDetermine clinical staff availability, based on staffing calendar, caseload, productivity and skill setAssign new admissions and revisits, prepare admission paperwork and assign appropriate number of new admissions to nurses based on productivity benchmarkTriage information and phone calls to clinicians, notify clinical staff in timely manner when patient is unavailable for visit (i.e. hospitalization, MD appointment)Maintain regular, timely, and effective communication with Clinical Team MangerAbility to prioritize multiple tasks and meet timelines, effective problem solving and strong attention to detail

Mayo Medical Laboratories

Ability to prioritize multiple tasks and meet project timelines, effective problem solving skills and strong attention to detailProposed, coordinated, developed and currently maintains a quality control database for QC, standards and reagents for each department, including procurement of necessary of suppliesResponsible for a variety of tasks, including but not limited to, inventory, adjusting spreadsheets and reconciliation (using Microsoft Word and Excel), organizing task lists, reviewing pending reports, resolving discrepancies and provides pre and post analytical support for the laboratoryIdentifies and implements changes to enhance efficiency regarding the daily workflow processFollows through on directives and performs special projects at the request of Operation Managers and supervisors Manages and facilitates the workflow of all laboratory production, provides direction and communicates effectively to the Laboratory Aides (across all shifts)Utilizes a variety of computer systems including SCC Soft (LIS) Possesses strong knowledge of the processes and procedures within the laboratory including a thorough knowledge of all aspects of specimen processing

Ensured quality customer service by addressing customer inquiries and resolving concerns and issues in a timely mannerStrategically scheduled service appointments to provide effective customer service while providing maximum productivity for service technicians Processed daily transactions & customer invoices

Ensured database accuracy of patient demographics and requested testsVerified specimens were received and maintained at the required temperature until testingDetermined accurate specimens were received for the tests orderedPrepared specimens for shipment for further testing at main campus in Rochester, MN

Monitored the receipt & ensured accurate shipping of all high value packages Investigated claims for packages that did not reach destination pointSecured all high value package insured for $5,000 or more into transport vehicles and notified destination point of impending delivery

Prepared and provided budget projections, financial reports, and daily reconciliations of the ATM system, processed IRS and DOR tax levies and legal writs of attachmentSupervised the operations of a customer care call centerSupervised the accounts processing department (staff of 15). Independently preformed all hiring, performance reviews, department development needs and terminations